Katelynn Rickelle Alley, NP-C
Nurse Practitioner, Family in Charleston, WV. Individual provider (NPI-1).
NPI number1972117752
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1972117752
- Entity type
- Individual (NPI-1)
- Name
- Katelynn Rickelle Alley
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 104223 | WV | Yes |
Practice location
111 Court StCharleston, WV 25301-2165
Phone 877-868-5351
Mailing address
Rr 1 Box 172Williamson, WV 25661
Phone 204-928-4018
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